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Home My WebLink AboutMINUTES - 10072003 - C90-C91 To: BOARDOF SUPERVISORSCONTRA COSTA 41 COUNTY From: William B.Walker,M.D. Health Services Director Dater October 7, 2003 Subject: Extension of Emergency Declaration Regarding Homelessness SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: CONTINUE with the emergency action originally taken by the Board on November 16, 1999 regarding the issue of homelessness in Contra Costa County. Background: Government Code Section 8630 required that, for a body which meets weekly that the need to continue the emergency declaration be reviewed at least every 14 days until the local emergency is terminated. In no event is the review to take place more than 21 days after the previous review. With the continuing inclement weather and no additional resources having been able to be placed on line to assist in sheltering homeless individuals and families, it is appropriate for the Board to continue the declaration of a local emergency regarding homelessness. On November 16, 1939, the Board of Supervisors declared a local emergency, pursuant to the provisions of Government Code Section 8630, on homelessness in Contra Costa County. This local emergency was extended on December 1, 1999, December 20, 1999, January 11, 2000, January 25, 2000, February 15, 2000, Match 7, 2000, March 21, 2000, April 11, 2000, May 16, 2000, June 6, 2000, July 18, 2000, August 8, 2000, September 12, 2000, September 26, 2000, October 10, 2000, October 24, 2000, November 14, 2000, December 5, 2000, December 19, 2000, January 9, 2001, January 23, 2001, February 6,2001, February 27, 2001, March 13, 2001, March 27, 2001, April 10, 2001,April 24, 2001, May 8, 2001, May 22, 2001, June 5, 2001, June 19, 2001, July 10, 2001, July 24, 2001, August 7, 2001, September 11, 2001, September 25, 2001 October 9, 2001, October 23, 2001, November 6, 2001, December 4, 2001, December 18, 2001, January 8, 2002, January 22, 2042, February 5, 2002, February 26, 2002, March 12, 2002, March 26, 2002,April 9, 2002,April 23, 2002, May 7, 2002, May 21, 2002, June 4, 2002, and June 18, 2002, July 9, 2002, July 23, 2002,August 6, 2002, September 10, 2002, September 24, 2002, October 8, 2002, October 22, 2002, November 5, 2002, December 3, 2002, December 17, 2002, January 21, 2003, February 4, 2003, March 4, 2003, March 18, 2003, April 8, 2003, May 6, 2003, May 20, 2003, June 3, 2003, June 17, 2003, July 15, 2003, August 12, 2003, September 9, 2003, September 23, 2003. CONTINUED ON ATTACHMENT: NO SIGNATURE +�- 'ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE PPROVE OTHER SIGNATURE(S): ., .- . ._ ACTION OF B D'ON October 7, 2003 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS {ABSENT Ile ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE[SATE SHOWN. ABSENT: ABSTAIN: Contact Person: Wendel Brunner, M.D. 313-6712 ATTESTED October 7, 2003 CC: Health Services Administration JOHN SWEETEN, CLERIC OF THE BOARD OF Public Health Administration SUPERVISORS AND COUNTY ADMINISTRATOR ..d k BY i DEPUTY ..............I............................................................................................................................................................................ ..... ..... ........ . .................... To: BOARD OF SUPERVISORS CONTRA COSTA COL TN From: William B.Walker,M.D. Health Services Director Date: October 7,2003 Subject: EXTENSION OF EMERGENCY DECLARATION AND AUTHORIZATION OF THE COUNTY HEALTH DEPARTMENT IN SUPPORT FOR NEEDLE EXCHANGE PROGRAMS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: CONTINUE with the emergency action originally taken by the Board on December 14, 1999 based on the increasing/epidemic number of AIDS/HIV and Hepatitis C cases among injection drug users in Contra Costa County. Background: Continued Need for Emergency The spread of disease, particularly HIV and Hepatitis C, through the sharing of needles continues to be a grave concern in Contra Costa County. 30% of all people living with AIDS in Contra Costa were infected by injection drug use with the highest number of AIDS cases in West County. As of December 1997, Richmond had the highest cumulative incidence of AIDS (4.8 per 1000 population) among Contra Costa cities, with at least 50 cases. Injection drug use was the estimated mode of infection among 40% of all individuals diagnosed with AIDS in Richmond. Among African Americans diagnosed with AIDS in Richmond 1982-1998 53%were most likely infected through injection drug use. Contra Costa Health Services does not currently provide needle exchange services(it is prohibited from doing so absent a declared public health emergency). CCHS does provide services focused on injection drug users including: I-HIV/AIDS Outreach and Education, 2-HIV antibody testing, 3-Substance Abuse Treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling and Treatment for HIV-infected clients. CONTINUED ON ATTACHMENT: YES SIGNATURE: . 'RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION'OF BOARD COMMITTEE ----'APPROVE OTHER SIGNATURE ACTION OF Bq�i ON October 7. 2003 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS X (ABSENT AND CORRECT COPY Of AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN, ABSENT: ABSTAIN: ATTESTED October 7,, 2003 JOHN SWEETEN, CLERK OF THE BOARD OF SUPERVISORS AND COUNT Y ADMINISTRATOR Contact Person: Wendel Brunner, M.D. 313-6712 CC: Health Services Director Public Health Administration BY '.- DEPUTY Bdard of Supervisors Page 2 emergency Declaration,for Support of Needle Exchange Programs Exchange Works, a community-based needle exchange service currently in operation in Contra Costa currently distributes clean needles on a ane-to-orae basis. Their volunteer staff currently exchange 5,000 needles per week at two sites. There are no established needle exchange program in East or Central County. PROGRESS SINCE EMERGENCY DECLARATION ON DECEMBER 14, 1999 At the Beard of Supervisors December 14, 1999 meeting, CCHS was directed to take four actions. As of January 7, 2000 the following has been completed: • CCHS has entered into discussions with Exchange Works in West County. • Supplies for the ongoing provision of the services have been identified. • CCHS staff have been identified to assist with the provision of information and referrals. • Documentation forms are being reviewed and revised as necessary to ensure that specific information is available to the Board. • Planning for an East County process will begin later this quarter after the preliminary process in West County is completed. This emergency action was renewed on December 20, 1999, January 11, 2000, January 25, 2000, February 15, 2000, March 7, 2000, March 21, 2000,April 11, 2000, May 16, 2000, June 6, 2000, July 18, 2000, August 8, 2000, September 12, 2000, September 26, 2000, October 10, 2000, October 24, 2000, November 14, 2000, December 5, 2000, December 19, 2000, January 9, 2001, January 23, 2001, February 6, 2001, February 27, 2001, March 13, 2001, March 27, 2001, April 10, 2401, April 24, 2001, May 8, 2001, May 22, 2001, June 5, 2001, June 19, 2001, July 10, 2001, July 24, 2001, August 7, 2001, September 11, 2001, September 25, 2001 October 9, 2001, October 23, 2001, November 6, 2001, December 4, 2001, December 18, 2001, January 8, 2002, January 22, 2002, February 5, 2002, February 26 2002, March 12, 2002, March 26, 2002,April 9, 2002, April 23, 2002, May 7, 2002, May 21, 2002, June 4, 2002, June 18, 2002, July 9, 2002, July 23, 2002, August 6, 2002, September 10, 2002, September 24, 2002, October 8, 2002, October 22, 2002, November 5, 2002, December 3, 2002, December 17, 2002, January 21, 2003, February 4, 2003, March 4, 2003, March 18, 2003, April 8, 2003, May 6, 2003, May 20, 2003, June 3, 2003, June 17, 2003, July 15, 2003, August 12, 2003, September 9, 2003, September 23, 2003.